Individual
SANDRA HOLLINGSHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 S J ST, TACOMA, WA 98408-2800
(253) 571-5074
(253) 571-5091
Mailing address
8001 S J ST, TACOMA, WA 98408-2800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001669
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL00001669
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
09/20/2012
Last updated
09/20/2012
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